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Hospital facility prices. What the hospital charges for the facility side of care — the surgeon’s and anesthesiologist’s fees are billed separately and are not included. How we scope prices →

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Hospital

SUNNYVIEW HOSPITAL AND REHABILITATION CENTER

Schenectady, NY · CCN 330406 · Rates published

6,150 distinct procedures filed
22 distinct payers
297,498 rate rows
2025-01-01 last MRF observed · ⚠ 21 mo old
Data quality

204,168 of 297,498 rate rows are consumer-grade (68.6%)

93,330 rows are marked excluded from the consumer medians — these stay visible in the raw drill-down with the same reason shown here, so nothing is silently hidden.

Excluded — reasonRows
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 82,747
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only 5,346
exceeds 10× this hospital's gross charge — excluded from medians 2,522
per-diem day rate — not a per-procedure price 2,344
percent-of-charges filed in the dollar field — excluded from medians 192
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 104
placeholder amount (≤ $0.02) — excluded from medians 75

⚠ Possibly outdated The most recent machine-readable file we have for this hospital is 21 months old. CMS requires hospitals to refresh these files at least annually, so newer rates may exist that we haven't ingested yet. The prices below are exactly as last filed.

Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://trinityhealth.pt.panaceainc.com/MRFDownload/trinityhealth/sunnyviewrehabhospital
Found on page https://www.sphp.com/for-patients/billing-information/pricing-information/price-estimate-and-downloadable-list
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-10-13
Content fingerprint b80ff68a9fdabb9c… · 7,697,889 bytes · first seen 2026-05-08

Top 50 most expensive offerings

Outliers are flagged where this hospital's filed rate is ≥2× or ≤0.5× the national median for the same code.

Code Description Payers Min $ Max $ Avg median vs national
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell Immunotherapy 8 $266,345.15 $337,370.53 $295,939.06 nat. median
$168,055
1.8× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 8 $195,902.60 $248,143.30 $217,669.56 nat. median
$186,516
1.2× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 8 $190,553.68 $241,367.99 $211,726.31 nat. median
$131,925
1.6× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 8 $154,129.82 $195,231.10 $171,255.35 nat. median
$145,435
1.2× median
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 8 $106,270.00 $134,608.67 $118,077.78 nat. median
$97,418
1.2× median
7
MS_DRG 		Lung Transplant 8 $88,676.89 $112,324.06 $98,529.88 nat. median
$70,649
1.4× median
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 8 $88,515.68 $112,119.86 $98,350.75 nat. median
$65,418
1.5× median
27800000002-43
CDM 		Device Impella 5.5 Smartassist 10 $389.00 $106,875.00 $95,625.00 —
14
MS_DRG 		Allogeneic Bone Marrow Transplant 8 $82,853.73 $104,948.06 $92,059.70 nat. median
$72,715
1.3× median
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 8 $77,864.10 $98,627.86 $86,515.67 nat. median
$74,509
1.2× median
27800000002-42
CDM 		Device Impella 5.5 Smartassist 10 $389.00 $95,000.00 $85,000.00 —
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 8 $74,822.75 $94,775.48 $83,136.39 nat. median
$69,922
1.2× median
A9542
HCPCS 		Indium In-111 Ibritumomab Tiuxetan Diagnostic Per Study Dose Up To 5 Millicuries 10 $389.00 $92,910.00 $83,130.00 nat. median
$3,055
outlier · 27.2×
215
MS_DRG 		Other Heart Assist System Implant 8 $73,845.36 $93,537.46 $82,050.40 nat. median
$73,023
1.1× median
27800000002-547
CDM 		Coil Azur Cx Detach 13mmx24cm .035in Periph 1/bx 10 $389.00 $91,563.38 $81,925.13 —
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 8 $70,162.06 $88,871.94 $77,957.84 nat. median
$69,822
1.1× median
27800000002-83
CDM 		Valve Sapien Thv Edwards Resilia 29mm 10 $389.00 $80,750.00 $72,250.00 —
27800000002-82
CDM 		Valve Sapien Thv Edwards Resilia 23mm 10 $389.00 $80,750.00 $72,250.00 —
27800000002-84
CDM 		Valve Sapien Thv Edwards Resilia 26mm 10 $389.00 $80,750.00 $72,250.00 —
27800000002-85
CDM 		Valve Sapien Thv Edwards Resilia 20mm 10 $389.00 $80,750.00 $72,250.00 —
453
MS_DRG 		Combined Anterior/posterior Spinal Fusion W Mcc 8 $64,061.29 $81,144.30 $71,179.21 nat. median
$2,106
outlier · 33.8×
27800000002-427
CDM 		Valve Sapien 3 Thv 29mm W/command System 10 $389.00 $77,187.50 $69,062.50 —
27800000002-603
CDM 		Valve Sapien 3 Ultra Thv 23mm W/command System 10 $389.00 $77,187.50 $69,062.50 —
27800000002-605
CDM 		Valve Sapien 3 Ultra Thv 26mm W/command System 10 $389.00 $77,187.50 $69,062.50 —
27800000002-601
CDM 		Valve Sapien 3 Ultra Thv 20mm W/command System 10 $389.00 $77,187.50 $69,062.50 —
27800000002-429
CDM 		Valve Thv Sapien 3 23mm W/certitudesystem 10 $389.00 $77,187.50 $69,062.50 —
27800000002-602
CDM 		Valve Sapien 3 Ultra Thv 23mm W/command System 10 $389.00 $77,187.50 $69,062.50 —
27800000002-425
CDM 		Valve Sapien 3 Thv 23mm W/command System 10 $389.00 $77,187.50 $69,062.50 —
27800000002-428
CDM 		Valve Sapien 3 Thv 29mm W/command System 10 $389.00 $77,187.50 $69,062.50 —
27800000002-430
CDM 		Valve Thv Sapien 3 26mm W/certitudesystem 10 $389.00 $77,187.50 $69,062.50 —
27800000002-604
CDM 		Valve Sapien 3 Ultra Thv 26mm W/command System 10 $389.00 $77,187.50 $69,062.50 —
27800000002-424
CDM 		Valve Sapien 3 Thv 20mm W/command System 10 $389.00 $77,187.50 $69,062.50 —
27800000002-426
CDM 		Valve Sapien 3 Thv 26mm W/command System 10 $389.00 $77,187.50 $69,062.50 —
27800000002-431
CDM 		Valve Thv Sapien 3 29mm W/certitudesystem 10 $389.00 $77,187.50 $69,062.50 —
20
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 8 $61,104.53 $77,399.07 $67,893.92 nat. median
$56,428
1.2× median
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 8 $60,938.25 $77,188.45 $67,709.17 nat. median
$59,651
1.1× median
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 8 $58,666.82 $74,311.31 $65,185.36 nat. median
$60,505
1.1× median
19
MS_DRG 		Simultaneous Pancreas And Kidney Transplant With Hemodialysis 8 $57,787.02 $73,196.89 $64,207.80 nat. median
$45,605
1.4× median
27800000002-289
CDM 		Kit Mitraclip 1 Mbr0101 10 $389.00 $71,250.00 $63,750.00 —
27800000002-290
CDM 		Kit Mitraclip 1 Mbr0301 10 $389.00 $71,250.00 $63,750.00 —
27800000002-472
CDM 		Valve Aortic Evolut Tm Pro 34mm 10 $389.00 $71,250.00 $63,750.00 —
27800000002-713
CDM 		Kit Mitraclip 1 Mbr0303 10 $389.00 $71,250.00 $63,750.00 —
27800000002-75
CDM 		Valve Aortic 34mm Evolut Fx 10 $389.00 $71,250.00 $63,750.00 —
27800000002-393
CDM 		Valve Aort 26mm Pro Perc 10 $389.00 $71,250.00 $63,750.00 —
27800000002-394
CDM 		Valve Aort 29mm Pro Perc 10 $389.00 $71,250.00 $63,750.00 —
27800000002-471
CDM 		Valve Aortic Evolut Tm Pro 29mm 10 $389.00 $71,250.00 $63,750.00 —
27800000002-470
CDM 		Valve Aortic Evolut Tm Pro 26mm 10 $389.00 $71,250.00 $63,750.00 —
27800000002-74
CDM 		Valve Aortic 29mm Evolut Fx 10 $389.00 $71,250.00 $63,750.00 —
27800000002-291
CDM 		Kit Mitraclip 2 Mbr0102 10 $389.00 $71,250.00 $63,750.00 —
27800000002-609
CDM 		Kit Mitraclip G4 Syst Cds0701nt/ntw/xt/xtw 10 $389.00 $71,250.00 $63,750.00 —

Other procedures at this hospital

Browse this hospital's 6,150 published procedures. Use the slice to choose what to show, then sort or filter any column.

Slice
Sortable, filterable data table. Use the column headers to sort, the filter row to narrow results.
Code Type Description Rate rows Payers Gross Cash Min $ Max $ Avg median Last observed
             
18 MS_DRG Chimeric Antigen Receptor (car) T-cell Immunotherapy 9 8 — — $266,345.15 $337,370.53 $295,939.06 2025-01-01
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 9 8 — — $195,902.60 $248,143.30 $217,669.56 2025-01-01
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 9 8 — — $190,553.68 $241,367.99 $211,726.31 2025-01-01
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 9 8 — — $154,129.82 $195,231.10 $171,255.35 2025-01-01
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 9 8 — — $106,270.00 $134,608.67 $118,077.78 2025-01-01
7 MS_DRG Lung Transplant 9 8 — — $88,676.89 $112,324.06 $98,529.88 2025-01-01
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 9 8 — — $88,515.68 $112,119.86 $98,350.75 2025-01-01
27800000002-43 CDM Device Impella 5.5 Smartassist 18 10 $112,500.00 $95,625.00 $389.00 $106,875.00 $95,625.00 2025-01-01
14 MS_DRG Allogeneic Bone Marrow Transplant 9 8 — — $82,853.73 $104,948.06 $92,059.70 2025-01-01
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 9 8 — — $77,864.10 $98,627.86 $86,515.67 2025-01-01
27800000002-42 CDM Device Impella 5.5 Smartassist 18 10 $100,000.00 $85,000.00 $389.00 $95,000.00 $85,000.00 2025-01-01
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 9 8 — — $74,822.75 $94,775.48 $83,136.39 2025-01-01
A9542 HCPCS Indium In-111 Ibritumomab Tiuxetan Diagnostic Per Study Dose Up To 5 Millicuries 18 10 $97,800.00 $83,130.00 $389.00 $92,910.00 $83,130.00 2025-01-01
215 MS_DRG Other Heart Assist System Implant 9 8 — — $73,845.36 $93,537.46 $82,050.40 2025-01-01
27800000002-547 CDM Coil Azur Cx Detach 13mmx24cm .035in Periph 1/bx 18 10 $96,382.50 $81,925.13 $389.00 $91,563.38 $81,925.13 2025-01-01
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 9 8 — — $70,162.06 $88,871.94 $77,957.84 2025-01-01
27800000002-82 CDM Valve Sapien Thv Edwards Resilia 23mm 18 10 $85,000.00 $72,250.00 $389.00 $80,750.00 $72,250.00 2025-01-01
27800000002-83 CDM Valve Sapien Thv Edwards Resilia 29mm 18 10 $85,000.00 $72,250.00 $389.00 $80,750.00 $72,250.00 2025-01-01
27800000002-84 CDM Valve Sapien Thv Edwards Resilia 26mm 18 10 $85,000.00 $72,250.00 $389.00 $80,750.00 $72,250.00 2025-01-01
27800000002-85 CDM Valve Sapien Thv Edwards Resilia 20mm 18 10 $85,000.00 $72,250.00 $389.00 $80,750.00 $72,250.00 2025-01-01
453 MS_DRG Combined Anterior/posterior Spinal Fusion W Mcc 9 8 — — $64,061.29 $81,144.30 $71,179.21 2025-01-01
27800000002-424 CDM Valve Sapien 3 Thv 20mm W/command System 18 10 $81,250.00 $69,062.50 $389.00 $77,187.50 $69,062.50 2025-01-01
27800000002-427 CDM Valve Sapien 3 Thv 29mm W/command System 18 10 $81,250.00 $69,062.50 $389.00 $77,187.50 $69,062.50 2025-01-01
27800000002-605 CDM Valve Sapien 3 Ultra Thv 26mm W/command System 18 10 $81,250.00 $69,062.50 $389.00 $77,187.50 $69,062.50 2025-01-01
27800000002-602 CDM Valve Sapien 3 Ultra Thv 23mm W/command System 18 10 $81,250.00 $69,062.50 $389.00 $77,187.50 $69,062.50 2025-01-01
27800000002-604 CDM Valve Sapien 3 Ultra Thv 26mm W/command System 18 10 $81,250.00 $69,062.50 $389.00 $77,187.50 $69,062.50 2025-01-01
27800000002-426 CDM Valve Sapien 3 Thv 26mm W/command System 18 10 $81,250.00 $69,062.50 $389.00 $77,187.50 $69,062.50 2025-01-01
27800000002-601 CDM Valve Sapien 3 Ultra Thv 20mm W/command System 18 10 $81,250.00 $69,062.50 $389.00 $77,187.50 $69,062.50 2025-01-01
27800000002-431 CDM Valve Thv Sapien 3 29mm W/certitudesystem 18 10 $81,250.00 $69,062.50 $389.00 $77,187.50 $69,062.50 2025-01-01
27800000002-430 CDM Valve Thv Sapien 3 26mm W/certitudesystem 18 10 $81,250.00 $69,062.50 $389.00 $77,187.50 $69,062.50 2025-01-01
27800000002-603 CDM Valve Sapien 3 Ultra Thv 23mm W/command System 18 10 $81,250.00 $69,062.50 $389.00 $77,187.50 $69,062.50 2025-01-01
27800000002-425 CDM Valve Sapien 3 Thv 23mm W/command System 18 10 $81,250.00 $69,062.50 $389.00 $77,187.50 $69,062.50 2025-01-01
27800000002-429 CDM Valve Thv Sapien 3 23mm W/certitudesystem 18 10 $81,250.00 $69,062.50 $389.00 $77,187.50 $69,062.50 2025-01-01
27800000002-428 CDM Valve Sapien 3 Thv 29mm W/command System 18 10 $81,250.00 $69,062.50 $389.00 $77,187.50 $69,062.50 2025-01-01
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 9 8 — — $61,104.53 $77,399.07 $67,893.92 2025-01-01
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 9 8 — — $60,938.25 $77,188.45 $67,709.17 2025-01-01
231 MS_DRG Coronary Bypass With Ptca With Mcc 9 8 — — $58,666.82 $74,311.31 $65,185.36 2025-01-01
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 9 8 — — $57,787.02 $73,196.89 $64,207.80 2025-01-01
27800000002-76 CDM Valve Aortic 23mm Evolut Fx 18 10 $75,000.00 $63,750.00 $389.00 $71,250.00 $63,750.00 2025-01-01
27800000002-75 CDM Valve Aortic 34mm Evolut Fx 18 10 $75,000.00 $63,750.00 $389.00 $71,250.00 $63,750.00 2025-01-01
27800000002-470 CDM Valve Aortic Evolut Tm Pro 26mm 18 10 $75,000.00 $63,750.00 $389.00 $71,250.00 $63,750.00 2025-01-01
27800000002-394 CDM Valve Aort 29mm Pro Perc 18 10 $75,000.00 $63,750.00 $389.00 $71,250.00 $63,750.00 2025-01-01
27800000002-609 CDM Kit Mitraclip G4 Syst Cds0701nt/ntw/xt/xtw 18 10 $75,000.00 $63,750.00 $389.00 $71,250.00 $63,750.00 2025-01-01
27800000002-291 CDM Kit Mitraclip 2 Mbr0102 18 10 $75,000.00 $63,750.00 $389.00 $71,250.00 $63,750.00 2025-01-01
27800000002-74 CDM Valve Aortic 29mm Evolut Fx 18 10 $75,000.00 $63,750.00 $389.00 $71,250.00 $63,750.00 2025-01-01
27800000002-745 CDM Kit Mitraclip 3 Mbr0103 18 10 $75,000.00 $63,750.00 $389.00 $71,250.00 $63,750.00 2025-01-01
27800000002-292 CDM Kit Mitraclip 2 Mbr0302 18 10 $75,000.00 $63,750.00 $389.00 $71,250.00 $63,750.00 2025-01-01
27800000002-393 CDM Valve Aort 26mm Pro Perc 18 10 $75,000.00 $63,750.00 $389.00 $71,250.00 $63,750.00 2025-01-01
27800000002-807 CDM Valve Aortic Evolut Tm Pro 23mm 18 10 $75,000.00 $63,750.00 $389.00 $71,250.00 $63,750.00 2025-01-01
27800000002-290 CDM Kit Mitraclip 1 Mbr0301 18 10 $75,000.00 $63,750.00 $389.00 $71,250.00 $63,750.00 2025-01-01
27800000002-289 CDM Kit Mitraclip 1 Mbr0101 18 10 $75,000.00 $63,750.00 $389.00 $71,250.00 $63,750.00 2025-01-01
27800000002-472 CDM Valve Aortic Evolut Tm Pro 34mm 18 10 $75,000.00 $63,750.00 $389.00 $71,250.00 $63,750.00 2025-01-01
27800000002-713 CDM Kit Mitraclip 1 Mbr0303 18 10 $75,000.00 $63,750.00 $389.00 $71,250.00 $63,750.00 2025-01-01
27800000002-73 CDM Valve Aortic 26mm Evolut Fx 18 10 $75,000.00 $63,750.00 $389.00 $71,250.00 $63,750.00 2025-01-01
27800000002-471 CDM Valve Aortic Evolut Tm Pro 29mm 18 10 $75,000.00 $63,750.00 $389.00 $71,250.00 $63,750.00 2025-01-01
233 MS_DRG Coronary Bypass With Cardiac Catheterization With Mcc 9 8 — — $56,385.27 $71,421.34 $62,650.30 2025-01-01
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 9 8 — — $55,746.20 $70,611.85 $61,940.22 2025-01-01
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 9 8 — — $52,285.56 $66,228.38 $58,095.07 2025-01-01
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 9 8 — — $50,863.56 $64,427.18 $56,515.07 2025-01-01
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 9 8 — — $50,351.01 $63,777.95 $55,945.57 2025-01-01
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 9 8 — — $50,024.25 $63,364.05 $55,582.50 2025-01-01
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 9 8 — — $49,939.67 $63,256.91 $55,488.52 2025-01-01
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 9 8 — — $49,683.75 $62,932.75 $55,204.17 2025-01-01
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 9 8 — — $49,554.35 $62,768.84 $55,060.39 2025-01-01
461 MS_DRG Bilateral Or Multiple Major Joint Procs Of Lower Extremity W Mcc 9 8 — — $49,292.65 $62,437.36 $54,769.61 2025-01-01
459 MS_DRG Spinal Fusion Except Cervical With Mcc 9 8 — — $47,946.56 $60,732.31 $53,273.96 2025-01-01
27800000002-332 CDM Set Pump Impella Cp 18 10 $62,500.00 $53,125.00 $389.00 $59,375.00 $53,125.00 2025-01-01
27200000002-6085 CDM Set Pump Cath Sys Rp Flex W/smart Assist 18 10 $62,500.00 $53,125.00 $389.00 $59,375.00 $53,125.00 2025-01-01
27800000002-335 CDM Set Pump Impella Rp 18 10 $62,500.00 $53,125.00 $389.00 $59,375.00 $53,125.00 2025-01-01
27800000002-334 CDM Set Pump Impella Rp 18 10 $62,500.00 $53,125.00 $389.00 $59,375.00 $53,125.00 2025-01-01
27800000002-825 CDM Set Pump Aic Impella 5.0 18 10 $62,500.00 $53,125.00 $389.00 $59,375.00 $53,125.00 2025-01-01
27800000002-77 CDM Impella Rp With Smart Assist 18 10 $62,500.00 $53,125.00 $389.00 $59,375.00 $53,125.00 2025-01-01
27800000002-331 CDM Set Pump Impella Cp 18 10 $62,500.00 $53,125.00 $389.00 $59,375.00 $53,125.00 2025-01-01
27800000002-824 CDM Set Pump Aic Impella 5.0 18 10 $62,500.00 $53,125.00 $389.00 $59,375.00 $53,125.00 2025-01-01
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 9 8 — — $46,016.35 $58,287.38 $51,129.28 2025-01-01
266 MS_DRG Endovascular Cardiac Valve Replacement W Mcc 9 8 — — $45,154.63 $57,195.86 $50,171.81 2025-01-01
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 9 8 — — $44,952.21 $56,939.47 $49,946.90 2025-01-01
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 9 8 — — $44,895.10 $56,867.12 $49,883.44 2025-01-01
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 9 8 — — $44,655.08 $56,563.11 $49,616.76 2025-01-01
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 9 8 — — $44,655.08 $56,563.11 $49,616.76 2025-01-01
A9543 HCPCS Yttrium Y-90 Ibritumomab Tiuxetan Therapeutic Per Treatment Dose Up To 40 Millic… 29 19 $55,035.00 $46,779.75 $389.00 $88,393.38 $49,531.50 2025-01-01
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 9 8 — — $44,397.72 $56,237.11 $49,330.80 2025-01-01
454 MS_DRG Combined Anterior/posterior Spinal Fusion W Cc 9 8 — — $44,216.27 $56,007.28 $49,129.19 2025-01-01
955 MS_DRG Craniotomy For Multiple Significant Trauma 9 8 — — $44,027.59 $55,768.28 $48,919.54 2025-01-01
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 9 8 — — $43,919.87 $55,631.83 $48,799.85 2025-01-01
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 9 8 — — $43,713.12 $55,369.95 $48,570.13 2025-01-01
28 MS_DRG Spinal Procedures With Mcc 9 8 — — $43,564.19 $55,181.31 $48,404.66 2025-01-01
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 9 8 — — $43,376.23 $54,943.22 $48,195.81 2025-01-01
232 MS_DRG Coronary Bypass With Ptca Without Mcc 9 8 — — $43,003.93 $54,471.64 $47,782.14 2025-01-01
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 9 8 — — $42,512.34 $53,848.96 $47,235.93 2025-01-01
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 9 8 — — $41,182.88 $52,164.98 $45,758.75 2025-01-01
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 9 8 — — $41,084.56 $52,040.44 $45,649.51 2025-01-01
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 9 8 — — $40,981.18 $51,909.49 $45,534.64 2025-01-01
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 9 8 — — $40,944.31 $51,862.80 $45,493.68 2025-01-01
834 MS_DRG Acute Leukemia Without Major O.r. Procedures With Mcc 9 8 — — $40,476.57 $51,270.33 $44,973.97 2025-01-01
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 9 8 — — $39,798.48 $50,411.40 $44,220.53 2025-01-01
653 MS_DRG Major Bladder Procedures With Mcc 9 8 — — $39,136.28 $49,572.62 $43,484.75 2025-01-01
27800000002-333 CDM Set Pump Impella Cp 18 10 $50,000.00 $42,500.00 $389.00 $47,500.00 $42,500.00 2025-01-01
8 MS_DRG Simultaneous Pancreas/kidney Transplant 9 8 — — $38,038.15 $48,181.66 $42,264.61 2025-01-01
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 9 8 — — $37,914.53 $48,025.08 $42,127.26 2025-01-01
234 MS_DRG Coronary Bypass With Cardiac Catheterization Without Mcc 9 8 — — $37,576.93 $47,597.44 $41,752.14 2025-01-01
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 9 8 — — $37,495.23 $47,493.96 $41,661.37 2025-01-01
11 MS_DRG Tracheostomy For Face,mouth & Neck Diagnoses W Mcc 9 8 — — $37,276.19 $47,216.51 $41,417.99 2025-01-01
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 9 8 — — $36,717.36 $46,508.66 $40,797.07 2025-01-01
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 9 8 — — $36,557.60 $46,306.29 $40,619.55 2025-01-01
228 MS_DRG Other Cardiothoracic Procedures With Mcc 9 8 — — $36,426.02 $46,139.63 $40,473.36 2025-01-01
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 9 8 — — $36,141.19 $45,778.84 $40,156.88 2025-01-01
799 MS_DRG Splenic Procedures With Mcc 9 8 — — $35,818.05 $45,369.53 $39,797.83 2025-01-01
471 MS_DRG Cervical Spinal Fusion With Mcc 9 8 — — $35,560.68 $45,043.53 $39,511.87 2025-01-01
267 MS_DRG Endovascular Cardiac Valve Replacement Without Mcc 9 8 — — $35,280.19 $44,688.24 $39,200.21 2025-01-01
27800000002-739 CDM Stent Graft Confrm Thor 21x21x10 18f 18 10 $45,725.00 $38,866.25 $389.00 $43,438.75 $38,866.25 2025-01-01
27800000002-781 CDM Stent Graft Confrm Thor 34x34x10 22f 18 10 $45,725.00 $38,866.25 $389.00 $43,438.75 $38,866.25 2025-01-01
27800000002-782 CDM Stent Graft Confrm Thor 31x31x15 20f 18 10 $45,725.00 $38,866.25 $389.00 $43,438.75 $38,866.25 2025-01-01
27800000002-737 CDM Stent Graft Confrm Thor 31x31x10 20f 18 10 $45,725.00 $38,866.25 $389.00 $43,438.75 $38,866.25 2025-01-01
27800000002-817 CDM Stent Graft Confrm Thor 45x45x20 24f 18 10 $45,725.00 $38,866.25 $389.00 $43,438.75 $38,866.25 2025-01-01
27800000002-809 CDM Stent Graft Confrm Thor 37x37x20 22f 18 10 $45,725.00 $38,866.25 $389.00 $43,438.75 $38,866.25 2025-01-01
27800000002-710 CDM Stent Graft Confrm Thor 34x34x15 22f 18 10 $45,725.00 $38,866.25 $389.00 $43,438.75 $38,866.25 2025-01-01
27800000002-773 CDM Stent Graft Confrm Thor 45x45x15 24f 18 10 $45,725.00 $38,866.25 $389.00 $43,438.75 $38,866.25 2025-01-01
27800000002-720 CDM Stent Graft Confrm Thor 40x40x15 22f 18 10 $45,725.00 $38,866.25 $389.00 $43,438.75 $38,866.25 2025-01-01
27800000002-779 CDM Stent Graft Confrm Thor 28x28x10 20f 18 10 $45,725.00 $38,866.25 $389.00 $43,438.75 $38,866.25 2025-01-01
27800000002-60 CDM Stent Graft Confrm Thor 40x40x20 22f 18 10 $45,725.00 $38,866.25 $389.00 $43,438.75 $38,866.25 2025-01-01
27800000002-774 CDM Stent Graft Confrm Thor 37x37x10 22f 18 10 $45,725.00 $38,866.25 $389.00 $43,438.75 $38,866.25 2025-01-01
27800000002-778 CDM Stent Graft Confrm Thor 45x45x10 24f 18 10 $45,725.00 $38,866.25 $389.00 $43,438.75 $38,866.25 2025-01-01
27800000002-810 CDM Stent Graft Confrm Thor 34x34x20 22f 18 10 $45,725.00 $38,866.25 $389.00 $43,438.75 $38,866.25 2025-01-01
6 MS_DRG Liver Transplant Without Mcc 9 8 — — $34,967.16 $44,291.74 $38,852.40 2025-01-01
10 MS_DRG Pancreas Transplant 9 8 — — $34,798.73 $44,078.39 $38,665.25 2025-01-01
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 9 8 — — $34,749.57 $44,016.12 $38,610.63 2025-01-01
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 9 8 — — $34,573.17 $43,792.68 $38,414.63 2025-01-01
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 9 8 — — $34,386.65 $43,556.42 $38,207.39 2025-01-01
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 9 8 — — $34,269.54 $43,408.09 $38,077.27 2025-01-01
163 MS_DRG Major Chest Procedures With Mcc 9 8 — — $34,075.80 $43,162.68 $37,862.00 2025-01-01
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 9 8 — — $33,605.89 $42,567.46 $37,339.88 2025-01-01
455 MS_DRG Combined Anterior/posterior Spinal Fusion Without Cc/mcc 9 8 — — $33,295.04 $42,173.72 $36,994.49 2025-01-01
27800000002-48 CDM Plug Cardiac Amulet Amplatzer 16mm 18 10 $43,160.00 $36,686.00 $389.00 $41,002.00 $36,686.00 2025-01-01
245 MS_DRG Aicd Generator Procedures 9 8 — — $32,758.62 $41,494.26 $36,398.47 2025-01-01
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 9 8 — — $32,755.73 $41,490.60 $36,395.26 2025-01-01
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 9 8 — — $32,653.08 $41,360.57 $36,281.20 2025-01-01
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 9 8 — — $32,545.37 $41,224.13 $36,161.52 2025-01-01
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 9 8 — — $32,513.55 $41,183.83 $36,126.17 2025-01-01
27800000002-68 CDM Watchman Flx Procedure - Device 18 10 $42,500.00 $36,125.00 $389.00 $40,375.00 $36,125.00 2025-01-01
27800000002-67 CDM Watchman Flx Procedure - Device 18 10 $42,500.00 $36,125.00 $389.00 $40,375.00 $36,125.00 2025-01-01
27800000002-97 CDM Device Watchman Flx Pro Procedure 18 10 $42,500.00 $36,125.00 $389.00 $40,375.00 $36,125.00 2025-01-01
27800000002-12 CDM Device Clsur Watchman Flx Laa 20mm 18 10 $42,500.00 $36,125.00 $389.00 $40,375.00 $36,125.00 2025-01-01
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 9 8 — — $32,245.35 $40,844.11 $35,828.17 2025-01-01
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 9 8 — — $32,014.02 $40,551.09 $35,571.13 2025-01-01
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 9 8 — — $31,924.37 $40,437.53 $35,471.52 2025-01-01
27800000002-622 CDM Stent Valiant Navion Vnmf3737c59tu Freeflo 60mm 18 10 $41,613.75 $35,371.69 $389.00 $39,533.06 $35,371.69 2025-01-01
27800000002-804 CDM Stent Valiant Navion Vnmf4040c62tu Freeflo 60mm 18 10 $41,613.75 $35,371.69 $389.00 $39,533.06 $35,371.69 2025-01-01
27800000002-621 CDM Stent Valiant Navion Vnmc2828c90tu Coveredseal 100mm 18 10 $41,613.75 $35,371.69 $389.00 $39,533.06 $35,371.69 2025-01-01
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 9 8 — — $31,727.74 $40,188.47 $35,253.04 2025-01-01
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 9 8 — — $31,533.27 $39,942.15 $35,036.97 2025-01-01
901 MS_DRG Wound Debridements For Injuries With Mcc 9 8 — — $31,286.75 $39,629.89 $34,763.06 2025-01-01
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 9 8 — — $31,106.02 $39,400.95 $34,562.24 2025-01-01
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 9 8 — — $30,931.79 $39,180.27 $34,368.66 2025-01-01
793 MS_DRG Full Term Neonate With Major Problems 9 8 — — $30,430.09 $38,544.78 $33,811.21 2025-01-01
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 9 8 — — $30,063.56 $38,080.51 $33,403.96 2025-01-01
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 9 8 — — $29,929.10 $37,910.19 $33,254.55 2025-01-01
31 MS_DRG Ventricular Shunt Procedures With Mcc 9 8 — — $29,759.93 $37,695.91 $33,066.59 2025-01-01
791 MS_DRG Prematurity With Major Problems 9 8 — — $29,623.30 $37,522.85 $32,914.78 2025-01-01
C1882 HCPCS Icd Crtd Cobalt Xt Hf Quad MRI Is4 Df4 168 10 $39,235.00 $33,349.75 $22.50 $40,762.13 $32,656.50 2025-01-01
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 9 8 — — $29,334.85 $37,157.48 $32,594.28 2025-01-01
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 9 8 — — $29,240.87 $37,038.44 $32,489.86 2025-01-01
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 9 8 — — $29,214.85 $37,005.47 $32,460.94 2025-01-01
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 9 8 — — $29,021.82 $36,760.98 $32,246.47 2025-01-01
12 MS_DRG Tracheostomy For Face,mouth & Neck Diagnoses W Cc 9 8 — — $28,952.42 $36,673.07 $32,169.36 2025-01-01
27800000002-63 CDM Conduit Konect Resilia Aortic Vlv 23mm 18 10 $37,500.00 $31,875.00 $389.00 $35,625.00 $31,875.00 2025-01-01
27800000002-64 CDM Conduit Konect Resilia Aortic Vlv 25mm 18 10 $37,500.00 $31,875.00 $389.00 $35,625.00 $31,875.00 2025-01-01
27800000002-99 CDM Conduit Konect Resilia Aortic Vlv 27mm 18 10 $37,500.00 $31,875.00 $389.00 $35,625.00 $31,875.00 2025-01-01
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 9 8 — — $28,611.21 $36,240.86 $31,790.23 2025-01-01
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 9 8 — — $28,272.88 $35,812.31 $31,414.31 2025-01-01
34 MS_DRG Carotid Artery Stent Procedures With Mcc 9 8 — — $28,204.20 $35,725.32 $31,338.00 2025-01-01
273 MS_DRG Percutaneous Intracardiac Procedures W Mcc 9 8 — — $28,172.39 $35,685.03 $31,302.66 2025-01-01
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 9 8 — — $28,101.55 $35,595.29 $31,223.94 2025-01-01
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 9 8 — — $28,036.48 $35,512.87 $31,151.64 2025-01-01
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 9 8 — — $27,836.23 $35,259.22 $30,929.14 2025-01-01
27200000002-6063 CDM Pack Priming Pre-connected Centrimag Sys Bypass 18 10 $36,250.00 $30,812.50 $389.00 $34,437.50 $30,812.50 2025-01-01
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 9 8 — — $27,656.22 $35,031.21 $30,729.13 2025-01-01
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 9 8 — — $27,390.19 $34,694.24 $30,433.54 2025-01-01
140 MS_DRG Major Head And Neck Procedures With Mcc 9 8 — — $27,312.83 $34,596.25 $30,347.59 2025-01-01
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 9 8 — — $26,975.95 $34,169.54 $29,973.28 2025-01-01
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 9 8 — — $26,908.71 $34,084.37 $29,898.57 2025-01-01
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 9 8 — — $26,889.20 $34,059.65 $29,876.89 2025-01-01
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 9 8 — — $26,733.77 $33,862.78 $29,704.19 2025-01-01
460 MS_DRG Spinal Fusion Except Cervical Without Mcc 9 8 — — $26,443.87 $33,495.57 $29,382.08 2025-01-01
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 9 8 — — $26,399.78 $33,439.72 $29,333.09 2025-01-01
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 9 8 — — $26,292.06 $33,303.28 $29,213.40 2025-01-01
332 MS_DRG Rectal Resection With Mcc 9 8 — — $26,224.83 $33,218.12 $29,138.70 2025-01-01
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 9 8 — — $26,189.41 $33,173.25 $29,099.34 2025-01-01
739 MS_DRG Uterine,adnexa Proc For Non-ovarian/adnexal Malig W Mcc 9 8 — — $26,143.14 $33,114.64 $29,047.93 2025-01-01
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 9 8 — — $25,889.39 $32,793.23 $28,765.99 2025-01-01
335 MS_DRG Peritoneal Adhesiolysis With Mcc 9 8 — — $25,844.57 $32,736.46 $28,716.19 2025-01-01
27200000002-6086 CDM Set Tubing Cardiovasc Proc Kit Bld Syst Vein 50-70cm 18 10 $33,622.50 $28,579.13 $389.00 $31,941.38 $28,579.13 2025-01-01
27800000002-115 CDM Vein Saphns 85cm Or Greater A B Ab O Bld Type 18 10 $33,622.50 $28,579.13 $389.00 $31,941.38 $28,579.13 2025-01-01
265 MS_DRG Aicd Lead Procedures 9 8 — — $25,548.89 $32,361.93 $28,387.66 2025-01-01
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 9 8 — — $25,484.55 $32,280.43 $28,316.17 2025-01-01
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 9 8 — — $25,203.34 $31,924.23 $28,003.71 2025-01-01
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 9 8 — — $25,133.93 $31,836.31 $27,926.59 2025-01-01
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 9 8 — — $25,028.39 $31,702.62 $27,809.32 2025-01-01
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 9 8 — — $25,001.64 $31,668.74 $27,779.60 2025-01-01
271 MS_DRG Other Major Cardiovascular Procedures With Cc 9 8 — — $24,985.74 $31,648.60 $27,761.93 2025-01-01
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 9 8 — — $24,977.78 $31,638.52 $27,753.09 2025-01-01
27200000002-5919 CDM Cannula Angiovac 180d Dilator 18 10 $32,500.00 $27,625.00 $389.00 $30,875.00 $27,625.00 2025-01-01
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 9 8 — — $24,783.32 $31,392.20 $27,537.02 2025-01-01
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 9 8 — — $24,621.38 $31,187.08 $27,357.09 2025-01-01
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 9 8 — — $24,509.33 $31,045.15 $27,232.59 2025-01-01
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 9 8 — — $24,411.01 $30,920.61 $27,123.34 2025-01-01
37 MS_DRG Extracranial Procedures With Mcc 9 8 — — $24,403.06 $30,910.54 $27,114.51 2025-01-01
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 9 8 — — $24,355.34 $30,850.10 $27,061.49 2025-01-01
252 MS_DRG Other Vascular Procedures With Mcc 9 8 — — $24,245.46 $30,710.92 $26,939.40 2025-01-01
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 9 8 — — $24,161.60 $30,604.69 $26,846.22 2025-01-01
469 MS_DRG Major Joint Replacement Or Reattachment Of Lower Extremity W Mcc 9 8 — — $24,071.96 $30,491.15 $26,746.62 2025-01-01
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 9 8 — — $24,041.59 $30,452.68 $26,712.88 2025-01-01
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 9 8 — — $23,966.42 $30,357.46 $26,629.35 2025-01-01
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 9 8 — — $23,813.15 $30,163.33 $26,459.06 2025-01-01
264 MS_DRG Other Circulatory System O.r. Procedures 9 8 — — $23,610.74 $29,906.93 $26,234.15 2025-01-01
904 MS_DRG Skin Grafts For Injuries With Cc/mcc 9 8 — — $23,539.89 $29,817.19 $26,155.43 2025-01-01
500 MS_DRG Soft Tissue Procedures With Mcc 9 8 — — $23,443.01 $29,694.48 $26,047.79 2025-01-01
274 MS_DRG Percutaneous Intracardiac Procedures Without Mcc 9 8 — — $23,428.56 $29,676.17 $26,031.73 2025-01-01
929 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/mcc 9 8 — — $23,245.66 $29,444.50 $25,828.51 2025-01-01
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 9 8 — — $23,244.21 $29,442.67 $25,826.90 2025-01-01
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 9 8 — — $23,139.39 $29,309.89 $25,710.43 2025-01-01
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 9 8 — — $23,137.94 $29,308.05 $25,708.82 2025-01-01
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 9 8 — — $22,986.13 $29,115.76 $25,540.14 2025-01-01
J9600 HCPCS Porfimer Per 75 Mg 29 19 $63,119.97 $53,651.97 $389.00 $59,963.97 $25,398.53 2025-01-01
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 9 8 — — $22,855.28 $28,950.02 $25,394.75 2025-01-01
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 9 8 — — $22,799.61 $28,879.51 $25,332.90 2025-01-01
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 9 8 — — $22,682.49 $28,731.16 $25,202.77 2025-01-01
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 9 8 — — $22,592.85 $28,617.61 $25,103.17 2025-01-01
C1721 HCPCS Icd Cobalt Xt Dr MRI Is1 Df4 153 10 $29,375.00 $24,968.75 $30.00 $32,252.50 $24,969.38 2025-01-01
665 MS_DRG Prostatectomy With Mcc 9 8 — — $22,331.88 $28,287.05 $24,813.20 2025-01-01
173 MS_DRG Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary… 9 8 — — $22,229.95 $28,157.93 $24,699.94 2025-01-01
27800000002-709 CDM Graft Stent Body Aortic Alto Pma 29mm 18 10 $28,747.50 $24,435.38 $389.00 $27,310.13 $24,435.38 2025-01-01
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 9 8 — — $21,919.09 $27,764.18 $24,354.54 2025-01-01
652 MS_DRG Kidney Transplant 9 8 — — $21,719.56 $27,511.44 $24,132.84 2025-01-01
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 9 8 — — $21,697.88 $27,483.98 $24,108.75 2025-01-01
662 MS_DRG Minor Bladder Procedures With Mcc 9 8 — — $21,663.89 $27,440.93 $24,070.99 2025-01-01
521 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 9 8 — — $21,645.82 $27,418.04 $24,050.91 2025-01-01
324 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc 9 8 — — $21,460.75 $27,183.62 $23,845.28 2025-01-01
472 MS_DRG Cervical Spinal Fusion With Cc 9 8 — — $21,365.33 $27,062.75 $23,739.25 2025-01-01
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 9 8 — — $21,348.70 $27,041.69 $23,720.78 2025-01-01
480 MS_DRG Hip And Femur Procedures Except Major Joint With Mcc 9 8 — — $21,318.34 $27,003.23 $23,687.04 2025-01-01
C1722 HCPCS Icd Cobalt Xt Vr MRI Df4 108 10 $27,750.00 $23,587.50 $389.00 $42,840.25 $23,623.62 2025-01-01
353 MS_DRG Hernia Procedures Except Inguinal And Femoral With Mcc 9 8 — — $21,140.50 $26,777.96 $23,489.44 2025-01-01
570 MS_DRG Skin Debridement With Mcc 9 8 — — $21,125.31 $26,758.73 $23,472.57 2025-01-01
625 MS_DRG Thyroid, Parathyroid And Thyroglossal Procedures With Mcc 9 8 — — $21,118.09 $26,749.58 $23,464.54 2025-01-01
974 MS_DRG HIV With Major Related Condition With Mcc 9 8 — — $21,084.11 $26,706.54 $23,426.79 2025-01-01
406 MS_DRG Pancreas, Liver And Shunt Procedures With Cc 9 8 — — $20,873.74 $26,440.07 $23,193.04 2025-01-01
411 MS_DRG Cholecystectomy With C.d.e. With Mcc 9 8 — — $20,823.86 $26,376.89 $23,137.62 2025-01-01
321 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device With Mmc Or 4+ A… 9 8 — — $20,781.93 $26,323.77 $23,091.03 2025-01-01
462 MS_DRG Bilateral Or Multiple Major Joint Procs Of Lower Extremity Without Mcc 9 8 — — $20,576.62 $26,063.72 $22,862.91 2025-01-01
A9504 HCPCS Technetium Tc-99m Apcitide Diagnostic Per Study Dose Up To 20 Millicuries 18 10 $26,760.00 $22,746.00 $389.00 $25,422.00 $22,746.00 2025-01-01
263 MS_DRG Vein Ligation And Stripping 9 8 — — $20,424.08 $25,870.50 $22,693.42 2025-01-01
668 MS_DRG Transurethral Procedures With Mcc 9 8 — — $20,372.03 $25,804.57 $22,635.59 2025-01-01
800 MS_DRG Splenic Procedures With Cc 9 8 — — $20,369.86 $25,801.83 $22,633.18 2025-01-01
240 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc 9 8 — — $20,308.41 $25,723.99 $22,564.90 2025-01-01
61 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 9 8 — — $20,262.14 $25,665.38 $22,513.49 2025-01-01
27800000002-26 CDM Valve Aortic Heart 22mm Cryopreserved 18 10 $25,988.75 $22,090.44 $389.00 $24,689.31 $22,090.44 2025-01-01
27800000002-22 CDM Valve Aortic Heart 17-21mm Cryopreserved 18 10 $25,988.75 $22,090.44 $389.00 $24,689.31 $22,090.44 2025-01-01
255 MS_DRG Upper Limb And Toe Amputation For Circulatory System Disorders With Mcc 9 8 — — $19,861.64 $25,158.08 $22,068.49 2025-01-01
344 MS_DRG Minor Small And Large Bowel Procedures With Mcc 9 8 — — $19,811.03 $25,093.98 $22,012.26 2025-01-01
27800000002-272 CDM Excluder Aort Ibc 23x10x10 Fa 18 10 $25,882.50 $22,000.13 $389.00 $24,588.38 $22,000.13 2025-01-01
654 MS_DRG Major Bladder Procedures With Cc 9 8 — — $19,790.07 $25,067.43 $21,988.97 2025-01-01
963 MS_DRG Other Multiple Significant Trauma With Mcc 9 8 — — $19,766.94 $25,038.13 $21,963.27 2025-01-01
27800000002-273 CDM Excluder Aort Ibc 23x12x10 Fa 18 10 $25,753.75 $21,890.69 $389.00 $24,466.06 $21,890.69 2025-01-01
510 MS_DRG Shoulder,elbow Or Forearm Proc,exc Major Joint Proc W Mcc 9 8 — — $19,667.90 $24,912.67 $21,853.22 2025-01-01
27800000002-255 CDM Excluder Aort C3 23x14.5x16cm 18 10 $25,625.00 $21,781.25 $389.00 $24,343.75 $21,781.25 2025-01-01
27800000002-268 CDM Excluder Aort C3 35x14.5x16cm 18 10 $25,625.00 $21,781.25 $389.00 $24,343.75 $21,781.25 2025-01-01
27800000002-274 CDM Excluder Aort Ibc 23x14x10 Fa 18 10 $25,625.00 $21,781.25 $389.00 $24,343.75 $21,781.25 2025-01-01
27800000002-265 CDM Excluder Aort C3 31x14.5x15cm 18 10 $25,625.00 $21,781.25 $389.00 $24,343.75 $21,781.25 2025-01-01
27800000002-263 CDM Excluder Aort C3 28x14.5x16cm 18 10 $25,625.00 $21,781.25 $389.00 $24,343.75 $21,781.25 2025-01-01
27800000002-254 CDM Excluder Aort C3 23x14.5x14cm 18 10 $25,625.00 $21,781.25 $389.00 $24,343.75 $21,781.25 2025-01-01
27800000002-264 CDM Excluder Aort C3 31x14.5x13cm 18 10 $25,625.00 $21,781.25 $389.00 $24,343.75 $21,781.25 2025-01-01
27800000002-258 CDM Excluder Aort C3 26x14.5x14cm 18 10 $25,625.00 $21,781.25 $389.00 $24,343.75 $21,781.25 2025-01-01
27800000002-259 CDM Excluder Aort C3 26x14.5x16cm 18 10 $25,625.00 $21,781.25 $389.00 $24,343.75 $21,781.25 2025-01-01
27800000002-262 CDM Excluder Aort C3 28x14.5x14cm 18 10 $25,625.00 $21,781.25 $389.00 $24,343.75 $21,781.25 2025-01-01
27800000002-261 CDM Excluder Aort C3 28x14.5x12cm 18 10 $25,625.00 $21,781.25 $389.00 $24,343.75 $21,781.25 2025-01-01
27800000002-767 CDM Excluder Aort C3 28x12x12cm 18 10 $25,625.00 $21,781.25 $389.00 $24,343.75 $21,781.25 2025-01-01
27800000002-577 CDM Excluder Aort C3 26x12x18cm 18 10 $25,625.00 $21,781.25 $389.00 $24,343.75 $21,781.25 2025-01-01
27800000002-257 CDM Excluder Aort C3 26x14.5x12cm 18 10 $25,625.00 $21,781.25 $389.00 $24,343.75 $21,781.25 2025-01-01
27800000002-266 CDM Excluder Aort C3 31x14.5x17cm 18 10 $25,625.00 $21,781.25 $389.00 $24,343.75 $21,781.25 2025-01-01
27800000002-267 CDM Excluder Aort C3 35x14.5x14cm 18 10 $25,625.00 $21,781.25 $389.00 $24,343.75 $21,781.25 2025-01-01
27800000002-260 CDM Excluder Aort C3 28x12x14cm 18 10 $25,625.00 $21,781.25 $389.00 $24,343.75 $21,781.25 2025-01-01
27800000002-256 CDM Excluder Aort C3 26x12x12cm 18 10 $25,625.00 $21,781.25 $389.00 $24,343.75 $21,781.25 2025-01-01
258 MS_DRG Cardiac Pacemaker Device Replacement With Mcc 9 8 — — $19,581.15 $24,802.79 $21,756.83 2025-01-01
208 MS_DRG Respiratory System Diagnosis With Ventilator Support <=96 Hours 9 8 — — $19,546.44 $24,758.83 $21,718.27 2025-01-01
849 MS_DRG Radiotherapy 9 8 — — $19,456.80 $24,645.28 $21,618.67 2025-01-01
13 MS_DRG Tracheostomy For Face,mouth & Neck Diagnoses Without Cc/mcc 9 8 — — $19,415.60 $24,593.09 $21,572.89 2025-01-01
503 MS_DRG Foot Procedures With Mcc 9 8 — — $19,388.12 $24,558.29 $21,542.36 2025-01-01
468 MS_DRG Revision Of Hip Or Knee Replacement Without Cc/mcc 9 8 — — $19,299.20 $24,445.66 $21,443.56 2025-01-01
135 MS_DRG Sinus And Mastoid Procedures With Cc/mcc 9 8 — — $19,172.69 $24,285.41 $21,302.99 2025-01-01
577 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Cc 9 8 — — $19,151.01 $24,257.95 $21,278.90 2025-01-01
325 MS_DRG Coronary Intravascular Lithotripsy Without Intraluminal Device 9 8 — — $19,116.31 $24,213.99 $21,240.34 2025-01-01
27800000002-253 CDM Excluder Aort C3 23x14.5x12cm 18 10 $24,987.50 $21,239.38 $389.00 $23,738.13 $21,239.38 2025-01-01
498 MS_DRG Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc… 9 8 — — $18,875.57 $23,909.06 $20,972.86 2025-01-01
288 MS_DRG Acute And Subacute Endocarditis With Mcc 9 8 — — $18,745.44 $23,744.23 $20,828.27 2025-01-01
659 MS_DRG Kidney And Ureter Procedures For Non-neoplasm With Mcc 9 8 — — $18,715.81 $23,706.69 $20,795.34 2025-01-01
619 MS_DRG O.r. Procedures For Obesity With Mcc 9 8 — — $18,712.92 $23,703.03 $20,792.13 2025-01-01
253 MS_DRG Other Vascular Procedures With Cc 9 8 — — $18,442.54 $23,360.55 $20,491.71 2025-01-01
164 MS_DRG Major Chest Procedures With Cc 9 8 — — $18,437.48 $23,354.14 $20,486.09 2025-01-01
347 MS_DRG Anal And Stomal Procedures With Mcc 9 8 — — $18,428.09 $23,342.24 $20,475.65 2025-01-01
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